| NPI | 1245900919 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008745) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: GA LMSW9270) | 
| 1041C0700X Social Worker, Clinical (Licence: DE Q5-0000081) | |
| Enumeration Date | 2021-09-15 | 
| Last Update Date | 2023-11-30 |